DR. JUSTIN D. HARRIS (NPI# 1811958416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811958416 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN D. HARRIS |
| Credential | M.D. |
| Practice Address |
575 S. 70th Street Suite 200 Lincoln NE 68510-2471 |
| Mailing Address |
575 S 70th Street Suite 200 Lincoln NE 68510-2471 |
| Practice Telephone | 4024883322 |
| Practice Fax Number | 4024881172 |
| Mailing Telephone | 4024883322 |
| Mailing Fax Number | 4024881172 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
24527 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BCBS | 00902 | 01 |
| NE | UNITED HEALTHCARE | 470703099 | 01 |
| PA | 101086076 | 05 | |
| NE | 47070309913 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440112 | Justin Michael Harris | Chiropractor | 2014 E County Road 540a, Lakeland, FL 33813-3739 | 2019-01-07 |
| 1205179306 | Justin Robert Harris | Surgery | 4023 Pheasant Run, Holt, MI 48842-8772 | 2013-03-27 |
| 1225340763 | Justin Curtis Harris | Licensed Practical Nurse | 7863 Route 53, Bath, NY 14810-9524 | 2010-07-13 |
| 1093923872 | Justin Ray Harris Sr. | Military Health Care Provider | 581 'a' Street, Norfolk, VA 23511-2133 | 2007-05-18 |
| 1417994492 | Justin E Harris | Physical Therapist | 10511 19th Ave Se, Suite B, Everett, WA 98208-4279 | 2006-05-31 |
| 1740809672 | Justin Henry Washburn Harris | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-10 |
| 1528699881 | Justin Harris | Nurse Anesthetist, Certified Registered | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2020-01-27 |
| 1487113304 | Justin Harris | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2019-03-19 |
| 1881173300 | Justin P Harris | Counselor | 1501 E El Paso St, Fort Worth, TX 76102-6700 | 2018-08-07 |
| 1952896870 | Justin Lane Harris | Dentist | 2431 W Main St Ste 601, Dothan, AL 36301-1270 | 2018-06-23 |
| Street Address |
575 S. 70TH STREET SUITE 200 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891744975 | David John Clare | Orthopaedic Surgery | 575 S 70th, Ste 200, Nebraska Orthopaedic and Sports Medicine PC, Lincoln, NE 68510-2471 | 2006-05-08 |
| 1700835881 | Robert W. Dugas | Orthopaedic Surgery | 575 S 70th St Ste 200, Lincoln, NE 68510-2471 | 2006-05-08 |
| 1851340525 | Scott Edwin Strasburger | Orthopaedic Surgery | 7121 Stephanie Ln, Suite 100, Lincoln, NE 68516-5359 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932173770 | Peter Monaco Cimino | Orthopaedic Surgery | 11704 W Center Rd, Ste 200, Omaha, NE 68144-4375 | 2006-02-16 |
| 1780624874 | Daniel Paul Slawski | Orthopaedic Surgery | 2810 W 35th St, Kearney, NE 68845-2909 | 2006-06-07 |
| 1336116367 | Steven V Hagan | Orthopaedic Surgery | 2725 S 144th St, #110, Omaha, NE 68144-5243 | 2006-03-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.